Chinese guidelines for minimally invasive donor hepatectomy in living donor liver transplantation (2024 edition)

被引：0

作者：

Xu, Xi ^{[1
,2
]}

Lv, Tao ^{[1
,2
]}

Xu, Gang ^{[1
,2
]}

Wei, Qiang ^{[3
]}

Ling, Qi ^{[4
]}

Wei, Lin ^{[5
]}

Li, Jianhua ^{[6
]}

Zhang, Jiakai ^{[7
]}

Cai, Yang ^{[8
]}

Cai, Jinzhen ^{[9
]}

Chen, Guihua ^{[10
]}

Chen, Zhishui ^{[11
]}

Chen, Zhonghua ^{[11
]}

Chen, Ying ^{[12
]}

Dou, Jian ^{[13
]}

Du, Shunda ^{[14
]}

Du, Chengyou ^{[15
]}

Fu, Zhiren ^{[16
]}

Guo, Zhiyong ^{[17
]}

Gao, Lianghui ^{[18
]}

He, Xiaoshun ^{[17
]}

He, Qiang ^{[19
]}

Huang, Lei ^{[20
]}

Huang, Jianzhao ^{[21
]}

Huo, Feng ^{[22
]}

Jia, Changku ^{[8
]}

Jin, Chen ^{[1
,2
]}

Jiang, Wentao ^{[23
]}

Jiang, Jipin ^{[11
]}

Jiao, Zuoyi ^{[24
]}

Jing, Hong-En ^{[25
]}

Lang, Ren ^{[19
]}

Li, Bo ^{[26
]}

Li, Li ^{[27
]}

Li, Ning ^{[28
]}

Li, Qiyong ^{[29
]}

Li, Wengang ^{[30
]}

Li, Yumin ^{[31
]}

Li, Guangming ^{[28
]}

Liu, Jun ^{[32
]}

Liu, Lei ^{[33
]}

Liu, Jingfeng ^{[34
]}

Liu, Lianxin ^{[35
]}

Liu, Zuojin ^{[36
]}

Lu, Shichun ^{[37
]}

Lu, Qian ^{[38
]}

Lv, Ling ^{[39
]}

Lv, Yi ^{[40
]}

Lv, Guoyue ^{[41
]}

Liang, Tingbo ^{[4
]}

机构：

[1] Sichuan Univ, Liver Transplant Ctr, Dept Gen Surg, West China Hosp, Chengdu, Peoples R China

[2] Sichuan Univ, Frontiers Sci Ctr Dis Related Mol Network, Lab Liver Transplantat, West China Hosp, Chengdu, Peoples R China

[3] Zhejiang Univ, Sch Med, Hangzhou 310006, Peoples R China

[4] First Affiliated Hosp Zhejiang Univ Sch Med, Dept Gastroenter, Hangzhou, Peoples R China

[5] Capital Med Univ, Beijing Friendship Hosp, Liver Transplantat Ctr, Natl Clin Res Ctr Digest Dis, Beijing, Peoples R China

[6] Fudan Univ, Huashan Hosp, Liver Transplantat Ctr, Dept Gen Surg, Shanghai, Peoples R China

[7] First Affiliated Hosp Zhengzhou Univ, Dept Plast Surg, Zhengzhou, Peoples R China

[8] Westlake Univ, Affiliated Hangzhou Peoples Hosp 1, Sch Med, Dept Hepatobiliary & Pancreat Surg, Hangzhou, Peoples R China

[9] Qingdao Univ, Affiliated Hosp, Organ Transplantat Ctr, Qingdao, Peoples R China

[10] Sun Yat Sen Univ, Organ Transplantat Inst, Dept Hepat Surg & Liver Transplantat Ctr, Affiliated Hosp 3, Guangzhou, Peoples R China

[11] Huazhong Univ Sci & Technol, Tongji Hosp, Inst Organ Transplantat, Tongji Med Coll, Wuhan, Peoples R China

[12] First Hosp China Med Univ, Dept Thorac Surg, Shenyang 10001, Peoples R China

[13] Hebei Med Univ, Dept Orthoped Surg, Third Hosp, Shijiazhuang, Peoples R China

[14] Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Liver Surg, Beijing, Peoples R China

[15] First Affiliated Hosp Chongqing Med Univ, Dept Hepatobiliary Surg, Chongqing, Peoples R China

[16] Shanghai Jiao Tong Univ, Ruijin Hosp, Sch Med, Dept Gen Surg, Shanghai, Peoples R China

[17] Sun Yat Sen Univ, Affiliated Hosp 1, Organ Transplant Ctr, Guangzhou, Peoples R China

[18] Hainan Med Univ, Affiliated Hosp 1, Dept Hepatobiliary Pancreat Surg, Haikou 570102, Peoples R China

[19] Capital Med Univ, Beijing Chaoyang Hosp, Dept Hepatobiliary Surg, Beijing, Peoples R China

[20] Peking Univ Peoples Hosp, Dept Hepatobiliary Surg, Beijing, Peoples R China

[21] Guizhou Prov Peoples Hosp, Dept Hepatobiliary Surg, Guiyang, Peoples R China

[22] Gen Hosp Southern Theater Command, Dept Radiotherapy, Guangzhou 510010, Peoples R China

[23] Tianjin First Cent Hosp, Dept Liver Transplantat, Tianjin, Peoples R China

[24] Second Hosp Lanzhou Univ, Dept Gen Surg, Lanzhou, Peoples R China

[25] Qinghai Univ, Dept Hepatobiliary & Pancreat Surg, Affiliated Hosp, Xining, Peoples R China

[26] Sichuan Univ, Dept Liver Surg, West China Hosp, Chengdu, Peoples R China

[27] Kunming Med Univ, Calmette Affiliated Hosp, Peoples Hosp Kunming 1, Dept Hepatobiliary Pancreat Surg, Kunming, Peoples R China

[28] Capital Med Univ, Beijing YouAn Hosp, Gen Surg Ctr, Beijing, Peoples R China

[29] Zhejiang Shuren Univ, Shulan Hangzhou Hosp, Shulan Int Med Coll, Dept Liver Transplantat,Dept Hepatobiliary & Pancr, Hangzhou 310015, Peoples R China

[30] Xiamen Univ, Xiangan Hosp, Sch Med, Dept Thorac Surg, Xiamen, Peoples R China

[31] Lanzhou Univ Second Hosp, Key Lab Digest Syst Tumors Gansu Prov, Lanzhou, Peoples R China

[32] Shandong First Med Univ, Shandong Prov Hosp, Dept Liver Transplantat & Hepatobiliary Surg, Jinan, Shandong, Peoples R China

[33] Second Hosp Affiliated Southern Univ Sci & Technol, Peoples Hosp Shenzhen 3, Dept Dermatovenerol, Shenzhen, Guangdong, Peoples R China

[34] Fujian Med Univ, Fujian Canc Hosp, Innovat Ctr Canc Res, Clin Oncol Sch, Fuzhou, Peoples R China

[35] First Affiliated Hosp USTC, Dept Urol Surg, Hefei, Anhui, Peoples R China

[36] Second Affiliated Hosp Chongqing Med Univ, Dept Neurosurg, Chongqing, Peoples R China

[37] Chinese PLA Med Sch, Chinese PLA Gen Hosp, Dept & Inst Hepatobiliary Surg, Beijing, Peoples R China

[38] Tsinghua Univ, Beijing Tsinghua Changgung Hosp, Ctr Hepatobiliary Pancreat Dis, Sch Clin Med, Beijing, Peoples R China

[39] Nanjing Med Univ, Hepatobiliary Ctr, Affiliated Hosp 1, Nanjing, Peoples R China

[40] First Affiliated Hosp Xian Jiaotong Univ, Dept Hepatobiliary Surg, Xian, Shaanxi, Peoples R China

[41] First Hosp Jilin Univ, Dept Gen Surg, Changchun 130021, Jilin, Peoples R China

[42] Cent South Univ, Xiangya Hosp 3, Transplantat Ctr, Changsha, Peoples R China

[43] Tongji Univ, Shanghai East Hosp, Jian Hosp, Sch Med,Dept Gen Surg, Jian, Jiangxi, Peoples R China

[44] First Affiliated Hosp Anhui Med Univ, Dept Thorac Surg, Hefei, Anhui, Peoples R China

[45] Guizhou Med Univ, Affiliated Hosp, Dept Hepatobiliary Surg, Guiyang, Peoples R China

[46] First Affiliated Hosp Guangxi Med Univ, Reprod Ctr, Nanning, Guangxi, Peoples R China

[47] Cent South Univ, Xiangya Hosp 2, Dept Liver Transplant, Changsha, Peoples R China

[48] Xinjiang Med Univ, Affiliated Hosp 1, Digest & Vasc Surg Ctr, Dept Hepatobiliary & Hydatid Dis, Urumqi, Peoples R China

[49] Fourth Mil Med Univ, Xijing Hosp, Dept Hepatobiliary Surg, Xian, Peoples R China

[50] Shandong Univ, Shandong Qianfoshan Hosp, Cheeloo Coll Med, Dept Liver Transplantat & Hepat Surg, Jinan, Peoples R China

来源：

HEPATOBILIARY SURGERY AND NUTRITION | 2024年 / 13卷 / 06期

关键词：

Living donor liver transplantation; donor; minimally invasive surgery; guideline; LAPAROSCOPIC RIGHT HEPATECTOMY; UPPER MIDLINE INCISION; MIDDLE HEPATIC VEIN; RIGHT HEMIHEPATECTOMY; STEATOSIS; LOBE; OUTCOMES; VOLUME; RESECTIONS; MAINLAND;

D O I：

10.21037/hbsn-24-329

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: Minimally invasive surgeries are increasingly central to modern medicine, particularly in liver transplantation. These techniques, which offer reduced trauma, precise operations, minimal bleeding, and swift recovery, are, however, unevenly adopted across China. Only a limited number of centers routinely perform minimally invasive donor hepatectomies, indicating a significant imbalance in the development and application of these advanced procedures. Additionally, there lacks a set of standardized guidelines that are tailored to meet China's unique healthcare challenges and conditions. Methods: In August 2023, the Branch of Organ Transplant of Chinese Medical Association and the Branch of Organ Transplant Physicians of Chinese Medical Doctor Association convened a group of national liver transplantation experts to establish a guideline development committee. This committee conducted a thorough review of relevant literature, evaluated existing guidelines and consensus, and assessed factors such as the evidence base, patient preferences, and the cost-effectiveness of interventions within China. After multiple rounds of discussions, both online and offline, the committee finalized the guidelines. Results: This collaborative effort led to the creation of the "Chinese guidelines for minimally invasive donor hepatectomy in living donor liver transplantation (2024 edition)". These guidelines address crucial aspects such as the safety and advantages of minimally invasive surgery for living donor liver transplantation, donor selection criteria, anesthesia strategies, surgical technical details, and learning curves associated with these procedures, resulting in a comprehensive set of 26 recommendations. Conclusions: The formulation of these guidelines represents a significant advancement towards standardizing minimally invasive liver transplantation surgeries in China. They are designed to enhance outcomes for both donors and recipients by synthesizing expert consensus with contemporary research and clinical practices. Moreover, they serve as a crucial reference for surgeons and medical institutions, promoting the refinement and adoption of minimally invasive surgical techniques in liver transplantation.

引用

页码：919 / 936

页数：18

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